Healthcare Provider Details

I. General information

NPI: 1992676340
Provider Name (Legal Business Name): LUNA WOMENS HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2025
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1915 CAPITOL AVE NE APT 4
WASHINGTON DC
20002-1761
US

IV. Provider business mailing address

1915 CAPITOL AVE NE APT 4
WASHINGTON DC
20002-1761
US

V. Phone/Fax

Practice location:
  • Phone: 202-937-2828
  • Fax: 202-788-5486
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY DAVIS
Title or Position: OWNER
Credential: DNP, FNP-C, PMHNP-BC
Phone: 215-872-4944